• Title/Summary/Keyword: Community/public Health

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Effects of socio-ecological factors on mental health of the residents in a single room occupancy (Jjok-bang) of South Korea (사회생태적 모델을 적용한 쪽방 주민의 정신건강 영향요인 분석)

  • Heo, Hyun-Hee;Che, Xian Hua;Chung, Haejoo;Kim, Jin Sung;Jo, Minjin;Moon, Daseul;Cha, Sujin;Yu, Sarah
    • Korean Journal of Health Education and Promotion
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    • v.32 no.2
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    • pp.39-52
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    • 2015
  • Objectives: Residents of a single room occupancy (Jjok-bang) in Seoul are at high risk of having mental health issues. The majority of residents live in single households with past traumatic experiences including self-deprivation and social exclusion. This study was to investigate the association between mental health and socio-ecological factors at the intrapersonal and community levels. Methods: We conducted face-to-face surveys in Dongja-dong Jjok-bang area in June, 2014. Of 78 participants, 76% were male and the mean age was 60 years (SD=11.53). A multiple regression was used to analyze the association among depression, a sense of well-being, socio-ecological factors, and perceived empowerment and community solidarity. Results: Perceived empowerment (${\beta}=0.83$; 95% CI=0.40, 1.26) and community solidarity (${\beta}=0.52$; 95% CI=0.04, 1.01) were positively associated with a sense of well-being. Participants with empowerment (${\beta}=-2.55$; 95% CI=-4.86, -0.23) and those with community solidarity (${\beta}=-2.36$; 95% CI=-4.94, 0.21) were negatively associated with being depressed. Conclusion: Mental health of the residents in Jjok-bang was more influenced by empowerment and community solidarity than socio-demographic factors. It is necessary to improve public health infrastructures that can enable the residents to enhance empowerment and community solidarity utilizing socio-ecological perspectives.

Developing Job Description for Dietitians Working in Public Health Nutrition Areas (보건소 영양사를 위한 직무 기술서 개발)

  • Cha, Jin-A;Park, Hae-Ryun;Lim, Young-Suk;Lim, Seung-Hee
    • Korean Journal of Community Nutrition
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    • v.13 no.6
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    • pp.890-902
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    • 2008
  • The purpose of this study was to develop a standardized job description for dietitians working in the public health nutrition area. Work-oriented job analysis methodology was employed for the study purpose. Subjects of 38 dietitians currently working at health centers in 2002 were recruited. Based on the focus group interview with 7 public health nutritionists and 7 professors, information about task elements was collected. Questionnaires measuring work performance and self-perception of importance of the selected task elements were administered. Reliability and validity of this instrument were tested by Chronbach's alpha and factor analysis. SAS PC package program was used for the statistical analysis. The final developed job description for public health nutritionists included 5 duties, 20 tasks and 93 task elements. The results of this study can be summarized as follows; 1) 5 duty areas are A. plan and evaluation of public health nutrition services, B. developing nutrition education materials, C. implementing nutrition services, D. networking community, and E. self development. 2) Each duty area from A to E was composed with 6, 2, 6, 4, 2 tasks, respectively. 3) Each duty area from A to E was composed with 24, 8, 38, 14, 9, and 2 task elements, respectively.

Public perception of environmental health due to small-scale industries in a rural community (일개 농촌지역 주민의 소규모 공장으로 인한 보건생활환경에 관한 인식도 조사)

  • Kim, Jeong-Youn;Jung, Yun-Jae;Sung, Yu-Mi;Ha, Eun-Hee;Wie, Cha-Hyung
    • Journal of agricultural medicine and community health
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    • v.25 no.1
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    • pp.1-9
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    • 2000
  • A public perception survey of environmental health due to small-scale industries was conducted in Sudong Myun, Namyangju City, Kyungki Do, recently being changed to industrialized rural community. This survey had the purpose to ascertain public interest, to identify public needs, and to assess participation for environmental health programs of rural community. The results of survey were as follows: 1. The rate of the respondents with factory worker 19.4% and half(53.1%) of respondents had lived nearby the factory. 2. Some respondents were not favor their neighboring factories(30.1%) and have discussed about its environmental problems in community meeting(14.4%) especially in neighborhood adjacent factories. 3. The respondents have perceived that: (1) major problems were water contamination, air pollution, nasty odor, dust, and noise (2) health problems were more serious in employees than in other residents (3) the employers were responsible for environmental problems (4) the health service should provided by public health center channel and participated by the residents (5) most important service for workers was improvement of working conditions. We hope the community environmental and/or occupational health delivery system for the employees and residents will be developed true public health center channel in a rural community on the basis of this result.

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An ecological study on factors associated with community mortality rates (지역사회 사망률 관련 요인에 대한 생태학적 연구)

  • Chi, Tae-Keun;Kwag, Kyung Hwa;Jekarl, Jung;Park, Min Su;Kim, Kwang Kee
    • Korean Journal of Health Education and Promotion
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    • v.32 no.3
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    • pp.11-22
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    • 2015
  • Objectives: This study was to examine the influences of community characteristics on the mortality rates. Community characteristics included socioeconomic environmental characteristics, health care resources, and health lifestyle practice. Methods: This study used secondary data whose units of analyses were 249 administrative districts. Mortality rates were estimated with hierarchical regression models entered in the order of (1) socioeconomic environmental characteristics, (2) health care resources, and (3) health lifestyle practice. Results: About 70% of mortality rate was explained by socioeconomic environmental characteristics, health care resources, and health lifestyle practice. In particular, socioeconomic environmental characteristics showed the strongest impact on mortality rate. Among socioeconomic characteristics, community with lower rate of households headed with college or more, lower number of inhabitants per on-premise license, higher rate of population in poverty, and rural region showed higher mortality rate. Among health care resources, community with higher number of inhabitants per doctor and lower number of inhabitants per hospital bed showed higher mortality rate. Among health lifestyle practice, community with higher current smoking rate and lower moderate physical activity practice rate showed higher mortality rate. Conclusions: The results suggest that policy makers should take into account socioeconomic environmental characteristics of community in developing community-based health promotion rather than focusing on lifestyle changes of residents.

The role and responsibility of community health practitioner based on the rural community development and the reform of health care system (농어촌 개발과 의료보장 개혁에 따른 보건진료원의 책임)

  • Kim, Hwa-Joong
    • Research in Community and Public Health Nursing
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    • v.5 no.2
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    • pp.101-108
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    • 1994
  • This study was conducted by community survey of 215 community health practitiner's posts and literature review of official documents. The result was as follows ; 1. The role and responsibility of community health practitioner's post must be studied by the community health practitioner and the community health leader, and on the basement of community health needs, community development plan, and reforom of health care system. 2. Comprehensive health care of community is very important role and responsibility of community health practitioners. However, it was supervised by the senior community health practitioner in provincial government. 3. The community health practitioner must be trained by formal inservice educational program focused on comprehensive health care. 4. The community health practitoner must be the health guider and health leader as the member of community.

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Performances and Limitations of the Health Community Organization Project in 148 Village, Gangbuk-gu (강북구 148 마을 건강주민운동사업의 성과와 한계)

  • Hong, Jong won;Park, Woong-Sub;Kim, Sang-A;Kim, Nam Jun
    • Journal of agricultural medicine and community health
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    • v.42 no.3
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    • pp.155-167
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    • 2017
  • Objectives: The purpose of this study was to examine the performances and limitations of health community building project of 148 village in Gangbuk-gu, Seoul on community health organization perspective. Methods: we conducted a qualitative study using both a systematic review of this project and in-depth interviews with the operators who had worked for the project from January 2012 to December 2012. Results: In this project, activists worked by gathering the opinions of the residents and focusing on their growth. The residents themselves established a community health care plan. Based on social determinants of health, they continued projects to solve residents' needs. A variety of programs were activated by providing a health cafe, which was an alternative public participation health promotion space that was not a clinic or a public health center. As the various entities gathered, there were difficulties related to interests and role sharing, and there were limitations such as the fact that the performance and limit of the pilot project could not be clearly predicted beforehand. Conclusions: This case suggested that new possibility of health and medical movement, approaching health issues by the way of community organization principle. Through the health community building project as community health organization perspective is expanded, health promotion effect will be created in the whole society.

A Comparative Study between American Public Health Nurse Core Competency and Community Health Nursing Practicum in a Province (미국 보건간호사 핵심역량과 일 지역사회의 지역사회간호학 실습교육내용 비교 연구)

  • Lee, Hanju;Choi, Junghyun;Hyeon, Sa Saeng;Kim, Chun Mi;Chin, Young Ran
    • Research in Community and Public Health Nursing
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    • v.28 no.3
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    • pp.334-346
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    • 2017
  • Purpose: This study attempts to examine the extent to which competencies were identified in a Korean community nursing practice based on the 11 core competencies required by US health nurses. Methods: This was a descriptive research study, and the subjects of this study were 11 students who were in a four-year nursing course. Data were collected by means of a questionnaire from October 19 to November 22, 2016. Results: Core competencies in total were practiced in 60.0% to 98.5% of schools in Korea. Among these, competencies corresponding to the practice level of 'high' were identified as 'communicating effectively with community nursing subjects and colleagues, and accepting various personal characteristics without criticism or prejudice'. On the other hand, competencies corresponding to the practice level of 'low' were identified as 'to comply with social justice, public good, public health principles, and leadership in a community nursing practice'. Conclusion: This study can be used as a resource to categorize the competence of nursing students expected in the field of community nursing. Based on a careful review of core competencies with low practice, it is necessary to seek specific practical strategies to strengthen these competencies in the future.

The Effects of Quality of Care, Image, Role Performance Perceived by Community Residents on Medical Service Satisfaction to Public Hospitals (지역주민이 인지하는 의료의 질, 이미지, 역할수행이 공공병원 서비스 만족도에 미치는 영향)

  • Hwang, Eun Jeong;Moon, Jungjoo;Sim, In Ok
    • Health Policy and Management
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    • v.24 no.2
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    • pp.153-163
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    • 2014
  • Background: This study aims to explore the effects of quality of care, image, and role performance perceived by community residents on medical service satisfaction to public hospitals. Methods: The subjects of this study were selected in the community residents around 39 district public hospitals. The questionnaire were included 4 factors and 16 items. The data were collected utilizing call-interview by a survey company. Results: The community satisfaction was positively correlated with quality of care, image, and role performance of public hospitals (p<0.001). As the results of multiple logistic regression, the significant variables of community satisfaction were quality of care (odds ratio [OR], 1.353; 95% confidence interval [CI], 1.211 to 1.511), image (OR, 1.487; 95% CI, 1.280 to 1.727), role performance (OR, 1.240; 95% CI, 1.085 to 1.416) among subjects having use experience of public hospitals. The significant variables of community satisfaction were quality of care (OR, 1.240; 95% CI, 1.175 to 1.309), image (OR, 1.328; 95% CI, 1.232 to 1.432), age (OR, 3.051; 95% CI, 1.385 to 6.724), monthly incomes (OR, 0.420; 95% CI, 0.198 to 0.892) among subjects not-having use experience of public hospitals. Conclusion: Public hospitals have to effort to improve image and satisfaction of community through providing quality of care, and role performance. It is possible to support them by the central and local government.

Factors Related to the Mental Health of Community Health Practitioners during the COVID-19 Outbreak in Korea (코로나바이러스감염증-19 발생기간 동안 보건진료전담공무원의 정신건강에 영향을 미치는 요인)

  • Yoon, Nabee;Lee, Hyeonkyeong
    • Journal of Korean Public Health Nursing
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    • v.35 no.1
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    • pp.47-59
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    • 2021
  • Purpose: To assess levels of mental health among community health practitioners during the COVID-19 outbreak in Korea and associations between practitioner mental health and personal and psychosocial factors. Methods: Data were collected from a convenient sample of 275 community health practitioners using an online questionnaire, which included items on mental health (K-WEMWBS), psychosocial factors (COVID-19 sensitivity, COVID-19 self-confidence, social support, perceived stress), and personal characteristics. Collected data were analyzed using the t-test, one-way ANOVA, Scheffe's test, Pearson's correlation coefficients, and multiple linear regression in SPSS 25.0. Results: Mean mental health score was 51.27±8.47. Multiple linear regression revealed that time spent as a community health practitioner, COVID-19 self-confidence, social support, and perceived stress were significantly associated with mental health. Conclusion: The findings of this study suggest that comprehensive intervention with emphases on improving COVID-19 self-confidence, social support, and reducing stress is required to improve community health practitioner mental health. The results also indicate a need for educational programs aimed at improving the mental health of young community health practitioners.